Spasticity changes in SCI following a dynamic standing program using the Segway

Spinal Cord
G BoutilierH Finlayson

Abstract

A pilot prospective pre- and post-intervention study. To determine whether a dynamic standing program using the Segway Personal Transporter results in any measurable physiological effects in individuals with spinal cord injury (SCI) using both qualitative and quantitative measures of spasticity, pain and fatigue. International Collaboration of Repair Discoveries (ICORD) Research Centre, Vancouver, BC, Canada. Eight individuals with SCI ASIA (American Spinal Injury Association) A-D, who could stand with or without the assistance of bracing or supports, participated in a 4-week dynamic standing program using a Segway (3 per week, 30-min sessions). The main outcome was spasticity as measured by the Modified Ashworth Scale (MAS). Secondary measures included the SCI-Spasticity Evaluation Tool, Pain Outcomes Questionnaire, and Fatigue Severity Scale. The dynamic standing sessions were associated with immediate improvements in spasticity (MAS) (P<0.001) and self-reported pain (P<0.05). Fatigue levels decreased, however this was not significant. There is little evidence to suggest that these beneficial outcomes may have lasting effects. Dynamic standing on the Segway may be effective for short-term spasticity reduction and decreased pa...Continue Reading

References

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Citations

Dec 9, 2014·Topics in Spinal Cord Injury Rehabilitation·Christina BalioussisB Catharine Craven
Mar 17, 2015·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Noam Y HarelAnn M Spungen
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Sep 1, 2016·The Journal of Spinal Cord Medicine·Noureddin Nakhostin AnsariSoofia Naghdi
Jul 20, 2019·Journal of Physical Therapy Science·Daisuke ImotoToshikazu Kubo

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